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DDRB told to take account of 'continued pay restraint' when considering GP funding uplift

The Government has said it is expecting the DDRB to recommend an uplift for GP contractors, but said there was a ‘strong case’ for ‘continued pay restraint’ in a letter to the review body this week.

In the letter to the Review Body on Doctors’ and Dentists’ Remuneration (DDRB) dated 26 August, health minister Dr Dan Poulter invited the body to make a recommendation for GP funding uplift, despite scrapping the process for employed doctors’ pay for next year.

Dr Poulter wrote: ‘We would particularly welcome DDRB’s recommendations on what allowance should be made for GPs’ […] pay and for practice staff pay, in the context of public sector pay policy for 2015/16.’

‘The Government will make the final decisions on the gross uplift for GMS… contracts in the light of the DDRB’s recommendations and taking into account any efficiency gains obtained through the relevant contract negotiations.’

This year, GPs received just a 0.28% funding uplift after the Government accepted the DDRB’s recommendation, despite the DDRB itself complaining that the approach to calculating GP expenses it is expected to use was ‘flawed’ and saying it would have ‘serious reservations’ about continuing making recommendations using the same formula.

Readers' comments (20)

  • @11:40 - just that line of thought a crime? Just like the various goings on with MRCGP Exams and a lot of other issues. Why do people always go into denial and protest vehemently the moment that doubt creeps in?

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  • Is it time to pull the plug on the NHS GP contract? Why don't we just do what the Australians do? They get better results!

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  • To pull the plug, you have to be united. Unfortunately, the profession is in disarray and it is every man to himself. There is no cohesive force and certainly no will power as uncertainty has resulted in a loss of confidence in frontline NHS staff across the board- not jut amongst GPs. Surely, if theDentists in UK could do it, GPs can - but who's going to bell the cat? BMA? LMCs?

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  • Nhsfatcat

    Dentists performing NHS work have strict dos and don'ts. They are professionally handcuffed. Doctors in Australia also are not a 'free' clinically as we are in the UK. We must look at what we're achieving with very modest funding per patient. Government must wake up to see that they are losing a great service by trying to make everything measurable. I challenge each and everyone of you to think of the best thing you did today for a patient and it will not have included ticking a DES/LES or QoF box.

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  • It is very difficult to walk away if you actually care about what happens to your patients.

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  • "It is very difficult to walk away if you actually care about what happens to your patients."

    This is why we are in the situation that we are in. We care about our patients, and that's why we want a properly resourced and funded service that can deliver the health care that patients need.

    Simply pulling together and making-do with the external and arbitrary constraints that HMG invents year on year isn't helping anyone (including your patients) in the long term.

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  • Anonymous | GP Partner | 29 August 2014 5:01pm

    accepting decay will do more harm than taking action now.

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  • My husband and I both retired last year at the grand ages of 58 and 57. When we became GPs in the 1980s we could guarantee that we would still be in work 25 years later and it was easy to get a mortgage for the surgery and home- although the payments were high so we were cash poor. We expected to be working i. Our 60s.
    Now it is a completely uncertain world for new GPs as short term arrangements have crept into daily GP life.
    We were full time GP Partners completely ground down by workload. Now we don't have to pay indemnity insurance, staff increases, business mileage, etc etc we are actually better off despite taking our pension early. I'm sorry we have already turned out the light.
    I don't think General Practice as we have known it will exisit in a years time even. Shame on the government who will only realise what a cheap cost effective service they have had to date when its no longer there

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  • Like Guys and St Thomas has 125 consultants per 100 beds compared to some other 'FAILING' hospital in Nottingham which has only 42 to 100.
    The poor guys in Nottingham are working 3x harder but are called failing.
    The NHS is riven with these kind of mad inequalities, a practice 5 miles from me gets £ 75 compared to my £ 60 per factored patient.
    The NHS is bananas. Always has been.
    Darzi centres got £300 per patient.
    Plain nuts.

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  • 10:30 am "Just £80,0000.......................??? and retire on £48,000 for doing nothing.............????

    You poor thing, I think it's time we started a new charity.......... "Help4GP's"

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